| NPI | 1225369101 |
|---|---|
| Former Name | HEIDI RANDALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201007092) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201007092) |
| Enumeration Date | 2010-01-16 |
| Last Update Date | 2014-11-13 |